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The Cardiovascular System: Blood

The Functions of Blood

Cardiovascular System Overview

•Provides a system for rapid transport within the body

•Nutrients
•Hormones
•Waste products
•Respiratory gases
•Cells
•Heat

The Functions of Blood

Blood functions include:

•Transport of cells and compounds

•Regulate pH and electrolytes of interstitial fluids

•Limit blood loss through damaged vessels

•Defend against pathogens, toxins

•Absorb, distribute heat as part of temperature regulation

The Composition of Blood

Blood Collection and Analysis

•Whole blood can be fractionated into:

•Plasma (liquid component)
•Formed elements (cellular components)
•Red blood cells (RBCs)
•White blood cells (WBCs)
•Platelets

The Composition of Blood

The Composition of Whole Blood

Plasma

Plasma Basics

•Makes up about 55% of whole blood

•Water makes up about 92% of plasma

•Has more protein and oxygen than interstitial fluid

•Plasma proteins fall in three classes

•Albumins
•Globulins
•Fibrinogen

Plasma

Key Note

Approximately half the volume of whole blood consists of cells and cell products (the formed elements). Plasma resembles interstitial fluid but contains a unique mixture of proteins not found in other extracellular fluids.

Plasma

The Composition of Whole Blood

Formed Elements

Hemopoiesis—The cellular pathways by which the formed elements are produced.

Stem cells (hemocytoblasts)—Cells that divide and mature to produce all three classes of formed elements.

Formed Elements

Red Blood Cells

•Also called, erythrocytes or RBCs

•Make up about 45% of whole blood volume

•Make up 99.9% of the formed elements

Formed Elements

Hematocrit—Percentage of whole blood volume taken up by formed elements (mostly RBCs). In clinical shorthand, it’s called, the “crit.”

Formed Elements

The Composition of Whole Blood

Formed Elements

Properties of RBCs

•Transport oxygen and carbon dioxide in blood stream

•Have large surface to volume ratio

•Speeds up gas loading/unloading

•Lack most organelles

•Makes more room for hemoglobin

•Degenerate after about 120 days

Formed Elements

The Anatomy of Red Blood Cells

Formed Elements

Red Blood Cell Composition

•Hemoglobin makes up 95% of RBC protein

•Globular protein composed of four subunits

•Each subunit contains:
•A globin protein chain
•A molecule of heme
•An atom of iron
•A binding site for one oxygen molecule

•Phagocytes recycle hemoglobin from damaged or dead RBCs

Formed Elements

Hemoglobin Recycling

Formed Elements

Erythropoiesis—Process for formation of red blood cells

•Occurs mainly in the bone marrow

•Stimulated by erythropoietin (EPO)

•EPO increases when oxygen levels are low

•Development stages include:

•Erythroblasts

•Reticulocytes (after nucleus is expelled)

Formed Elements

The Origins and Differentiation of RBCs, Platelets, and WBCs

Formed Elements

Key Note

Red blood cells (RBCs) are the most numerous cells in the body. They circulate for about four months before being recycled; millions are produced each second. The hemoglobin inside transports oxygen from the lungs to peripheral tissues and carbon dioxide from the tissues to the lungs.

Formed Elements

Blood Type

•Determined by presence or absence of specific antigens (agglutinogens) on outside surface of RBC

•Antigens are called A, B, and Rh

•Antibodies (agglutinins) in plasma react with foreign antigens on RBCs

•RBCs clump and break open

•Anti-Rh antibody made after exposure to Rh-positive blood cells

Formed Elements

Blood Types and Cross-Reactions

Formed Elements

White Blood Cells (WBCs)

•Also called, leukocytes

•Defend the body against:

•Pathogens

•Toxins

•Abnormal cells

•Damaged cells

Formed Elements

WBC Properties

•Perform diapedesis—Push between cells to cross blood vessel walls and enter the tissues

•Exhibit chemotaxis—Move toward specific chemicals released by bacteria or injured cells

•Consist of two groups:

•Granulocytes (cytoplasmic granules)

•Agranulocytes (no granules)

Formed Elements

Three Types of Granulocytes

•Neutrophils

•50–70% of circulating WBCs

•Phagocytic

•Eosinophils

•Less common

•Phagocytic

•Attracted to foreign proteins

•Basophils

•Release histamine

•Promote inflammation

Formed Elements

Two Types of Agranulocytes

•Lymphocytes

•Found mostly in lymphatic system

•Provide specific defenses

•Attack foreign cells
•Produce antibodies
•Destroy abnormal (cancer) cells

•Monocytes

•Migrate into tissues

•Become macrophages

•Live as phagocytic amoeba

Formed Elements

White Blood Cells

Formed Elements

White Blood Cells

Formed Elements

White Blood Cells

Formed Elements

White Blood Cells

Formed Elements

White Blood Cells

Formed Elements

Production of WBCs in Bone Marrow

•Myeloid stem cells produce:

•Granulocytes (three types)

•Monocytes (future macrophages)

•Lymphoid stem cells produce lymphocytes

•Process called, lymphopoiesis

•Lymphocytes enter blood

•Migrate to lymphoid tissues

Formed Elements

Regulation of WBC Maturation

•Colony-stimulating factors (CSFs)— Hormones which regulate certain WBC populations

•Four CSFs are known

•CSFs target stem cell lines

•Several CSFs used with cancer patients with bone marrow suppression

Formed Elements

Regulation of WBC Maturation

•Regulation of lymphocyte maturation is poorly understood

•Thymosins (hormones in thymus gland) trigger Tcells to develop

Formed Elements

Key Note

WBCs outnumber RBCs by a 1000 to 1. WBCs defend the body against infection, foreign cells, or toxins, and assist in the repair of damaged tissues. Most numerous are neutrophils, which engulf bacteria, and lymphocytes, which are responsible for the specific immune defenses.

Platelets

Platelets are

•Produced in the bone marrow

•Released from megakaryocytes as cytoplasmic fragments into the blood

•Essential to clotting process

Hemostasis

Hemostasis—Processes that stop the loss of blood from a damaged vessel. Largely dependent on platelets and soluble proteins (clotting factors).

Hemostasis

Three phases in Hemostasis:

•Vascular phase

•Local contraction of injured vessel

•Platelet phase

•Platelets stick to damaged vessel wall

•Coagulation phase

•Clotting factors in plasma form blood clot

Hemostasis

The Clotting Process

•Coagulation pathways require an external trigger

•Extrinsic pathway

•Triggered by factors released by injured endothelial cells or peripheral tissues

•Intrinsic pathway

•Triggered by factors released by platelets stuck to vessel wall

•Both pathways lead to common pathway

•Thrombin converts soluble fibrinogen subunits to an insoluble polymer, fibrin

Hemostasis

The Structure of a Blood Clot

Hemostasis

Events in the Coagulation Phase of Hemostasis

Hemostasis

Clot Retraction and Removal

•Clot retracts because platelets contract

•Pulls broken vessel closed

•Clot gradually dissolves

•Called, fibrinolysis

•Plasmin, an enzyme derived from plasminogen in the plasma, cuts fibrin apart like a molecular scissors

Hemostasis

Key Note

Platelets coordinate hemostasis (blood clotting). If they are activated by abnormal changes in their surroundings, platelets release clotting factors and other chemicals. Hemostasis is a complex cascade that produces a fibrous patch that is subsequently remodeled and then removed as repair proceeds.